Organization Active NPI

Core Kidney Care PLLC

  • Nephrology Physician
  • Lansdale, PA
National Provider Identifier
1669239380
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CORE KIDNEY CARE PLLC
Practice address
701 Lansdale Ave
Lansdale, PA 19446-2958
Phone
(585) 613-8441
NPI assigned
Feb 28, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Surekha Neeli, MDNPI 1649424474
Title
President
Phone
(585) 613-8441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

701 Lansdale Ave
Lansdale, PA 19446-2958

Mailing address

1424 Cambridge Dr
North Wales, PA 19454-3686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240911000956 PA Part B Supplier - Clinic/Group Practice 5496295966 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth Meeting, PA; Lansdale, PA

National Provider Directory

National Provider Directory

Locations

527 Plymouth Rd
Unit 741
Gwynedd Valley, PA 19437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1669239380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 CAMBRIDGE DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LANSDALE AVE",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462958",
            "telephone_number": "585-613-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE KIDNEY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "NEELI",
        "authorized_official_first_name": "SUREKHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-613-8441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.